Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Fracture of forearm65966004
- Start
- 2020-04-29
- Stop
- 2020-04-29
The parties
- Patient
- patient Royce Peter Wolf
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
04658673-6112-6940-8e6d-8c1696ff6146